Specialized tobacco quitline and basic needs navigation interventions to increase cessation among low income smokers: Study protocol for a randomized controlled trial

McQueen, Amy; Roberts, Colin; Garg, Rachel; Caburnay, Charlene; Fu, Qiang; Gordon, Jacob; Bush, Terry; Pokojski, Robin; Thompson, Tess; Kreuter, Matthew W.

doi:10.1016/j.cct.2019.03.009

Cited by 26 publications

(15 citation statements)

References 61 publications

(48 reference statements)

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“…Several recent studies have highlighted the importance of providing additional support to manage the stressors (e.g. lack of food, shelter, safety) that can impede smokers' ability to engage in programs and make/sustain behavior change (31)(32)(33). Integrating support for smoking cessation with referrals to communitybased resources to address unmet basic needs has shown promise in several studies (31,33,34).…”

Section: Resultsmentioning

confidence: 99%

Quitting the quitline: a qualitative study of patient experience of electronic referrals to quitlines

Albert

Rose

Gill

et al. 2020

Preprint

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Background: The use of electronic referrals (eReferrals) to state quitlines (QLs) for tobacco-using patients is a promising approach for addressing smoking cessation on a large scale. However, QL contact, enrollment, and completion rates are low. The purpose of this study was to examine the eReferral to QL process from the patient’s perspective in order to inform strategies for improving QL engagement. Methods : We conducted interviews with 55 patients who agreed to an eReferral at a primary care visit to 1 of 8 safety-net community health centers in Cuyahoga County, Ohio (September 2017-August 2018). Interviews were designed to explore the experiences of three subgroups of patients who subsequently: 1) declined participation in the QL; 2) were unreachable by the QL; or 3) were enrolled in or had completed the QL program. Analysis was guided by a phenomenological approach designed to identify emergent themes. Results: Reasons for QL program non-completion included changing life circumstances and events making cessation unviable; misunderstandings about the QL; discomfort with telephonic counseling; perceived lack of time for counseling; cell phone barriers; and having already quit smoking. We found that some individuals who were no longer engaged with the QL still desired continued support from the QL. Conclusions: Participants intentionally and unintentionally disengage from the QL for a wide variety of reasons, several of which are mediated by low socioeconomic status. Integrating QL care with community-based resources that address these mediators could be a promising strategy.

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Section: Resultsmentioning

confidence: 99%

Quitting the quitline: a qualitative study of patient experience of electronic referrals to quitlines

Albert

Rose

Gill

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…Several recent studies have highlighted the importance of providing additional support to manage the stressors (e.g. lack of food, shelter, safety) that can impede smokers' ability to engage in programs and make/sustain behavior change [31][32][33]. Integrating support for smoking cessation with referrals to community-based resources to address unmet basic needs has shown promise in several studies [31,33,34].…”

Section: Discussionmentioning

confidence: 99%

Quitting the quitline: a qualitative study of patient experience of electronic referrals to quitlines

et al. 2020

View full text Add to dashboard Cite

Background: The use of electronic referrals (eReferrals) to state quitlines (QLs) for tobacco-using patients is a promising approach for addressing smoking cessation on a large scale. However, QL contact, enrollment, and completion rates are low. The purpose of this study was to examine the eReferral to QL process from the patient's perspective in order to inform strategies for improving QL engagement. Methods: We conducted interviews with 55 patients who agreed to an eReferral at a primary care visit to 1 of 8 safety-net community health centers in Cuyahoga County, Ohio (September 2017-August 2018). Interviews were designed to explore the experiences of three subgroups of patients who subsequently: 1) declined participation in the QL; 2) were unreachable by the QL; or 3) were enrolled in or had completed the QL program. Analysis was guided by a phenomenological approach designed to identify emergent themes. Results: Reasons for QL program non-completion included changing life circumstances and events making cessation unviable; misunderstandings about the QL; discomfort with telephonic counseling; perceived lack of time for counseling; cell phone barriers; and having already quit smoking. We found that some individuals who were no longer engaged with the QL still desired continued support from the QL. Conclusions: Participants intentionally and unintentionally disengage from the QL for a wide variety of reasons, several of which are mediated by low socioeconomic status. Integrating QL care with community-based resources that address these mediators could be a promising strategy.

show abstract

Section: Discussionmentioning

confidence: 99%

Quitting the quitline: a qualitative study of patient experience of electronic referrals to quitlines

Albert

Rose

Gill

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: The use of electronic referrals (eReferrals) to state quitlines (QLs) for tobacco-using patients is a promising approach for addressing smoking cessation on a large scale. However, QL contact, enrollment, and completion rates are low. The purpose of this study was to examine the eReferral to QL process from the patient’s perspective in order to inform strategies for improving QL engagement.Methods: We conducted interviews with 55 patients who agreed to an eReferral at a primary care visit to 1 of 8 safety-net community health centers in Cuyahoga County, Ohio (September 2017-August 2018). Interviews were designed to explore the experiences of three subgroups of patients who subsequently: 1) declined participation in the QL; 2) were unreachable by the QL; or 3) were enrolled in or had completed the QL program. Analysis was guided by a phenomenological approach designed to identify emergent themes.Results: Reasons for QL program non-completion included changing life circumstances and events making cessation unviable; misunderstandings about the QL; discomfort with telephonic counseling; perceived lack of time for counseling; cell phone barriers; and having already quit smoking. We found that some individuals who were no longer receiving QL support because they had been classified as program complete, unreachable, or declined - desired continued support from the QL.Conclusions: Integrating QL care with community-based resources that address the socio-economic mediators of tobacco use, and/or incorporating culturally adapted interventions could be promising strategies. Follow up by the referring primary care provider to encourage engagement and offer support is recommended.

show abstract

Specialized tobacco quitline and basic needs navigation interventions to increase cessation among low income smokers: Study protocol for a randomized controlled trial

Cited by 26 publications

References 61 publications

Quitting the quitline: a qualitative study of patient experience of electronic referrals to quitlines

Quitting the quitline: a qualitative study of patient experience of electronic referrals to quitlines

Quitting the quitline: a qualitative study of patient experience of electronic referrals to quitlines

Quitting the quitline: a qualitative study of patient experience of electronic referrals to quitlines

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